Active NPI
Peter Kilfoil
- Durable Medical Equipment & Medical Supplies
- Riverhead, NY
National Provider Identifier
1437332384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PETER KILFOIL
- Practice address
- 887 Old Country Rd
Suite J
Riverhead, NY 11901-2115 - Phone
- (631) 727-7717
- NPI assigned
- Dec 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter J Kilfoil, D.P.M.
- Title
- Owner
- Phone
- (631) 765-8086
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
887 Old Country Rd
Suite J
Riverhead, NY 11901-2115
Mailing address
PO Box 1343
Southold, NY 11971-0964
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00420842 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
887 Old Country Rd
Ste J
Riverhead, NY 11901
Phone (631) 727-7717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200009600000",
"number": "1437332384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1343",
"city": "SOUTHOLD",
"state": "NY",
"postal_code": "119710964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "887 OLD COUNTRY RD",
"address_2": "SUITE J",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012115",
"telephone_number": "631-727-7717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER KILFOIL",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-14",
"last_updated": "2008-01-11",
"status": "A",
"authorized_official_last_name": "KILFOIL",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-765-8086",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00420842",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.